Class Registration

Register for a Class

Fill out the form below and I'll be in touch to confirm your class details. USCCA Certified Instructor #4487104 — no experience needed.

Full Legal Name (as it appears on your State-Issued ID) *

Date of Birth *

Home Address *

State-Issued ID *

Driver LicenseState-Issued ID (non-driver)

A valid state-issued photo ID is required for all classes.

Are you legally allowed to handle a firearm? *

You must be legally permitted to possess and handle a firearm to participate in this class.

YesNo

Phone Number *

Email Address *

Age *

Course Interest *

Pre-selected: Home Defense Fundamentals

Preferred Class Date & Time

Select your preferred date and time. I'll confirm availability and follow up with you.

Date

Preferred Time

Shooting Experience

Handgun Experience

Do You Own a Handgun?

YesNo

Additional Notes